Section 129.30. Standards for hospice medication aide training programs.

 

(1)   Curriculum.

(a) Minimum requirements. A training program shall include the following 6 areas specified in pars. (b) to (h) .

(b) Introduction.

1. To the course.

2. To the role of the medication aide.

(c) Legal and ethical considerations .

1. Federal and state hospice standards, regulations, statutes, and administrative rules.

2. Standards of Practice for Registered Nurses and Licensed Practical Nurses, ch. N 6 specific to registered nurse delegation.

3. Professional and staff roles and liabilities.

4. Patient rights regarding administration of medications.

5. Confidentiality of information related to patients.

6. Facility policies and procedures for administration of medications.

(d) Overview of body systems related to the routes of medication administration and the classes of medications.

1. Anatomy of body structures that pertain to medication administration, including structure of the eye, ear, nose, mouth, vagina, rectum, and skin, which are necessary to administer medication correctly via these routes.

2. Functions of these body structures that impact medication administration and effectiveness.

3. Diseases of these body structures that impact medication administration and medication effectiveness.

(e) Medication fundamentals.

1. Medication orders.

2. Medication mathematics, weights and measures.

3. Dosage forms, including pills, capsules, ointments, patches, and suppositories.

4. Drug effects and actions.

5. Classes or types of commonly used medications in hospice settings.

a. Use of the drug or drug indication.

b. Side effects of the medications.

c. Specific medication administration requirements.

6. Medication packaging systems.

7. Medication storage, destruction or return of medication.

(f) Medication administration.

1. Techniques and procedures of various routes of medication administration.

2. Six "rights" of medication administration including right patient, right drug, right dose, right route, right time, and right documentation.

(g) Observations and reporting . Requirements for timely reporting and documenting the administration of all medication, including the need for PRN medications and the patient's response, refusal to take medication, omission of medications, errors in the administration of medication and drug reactions and any change in the condition of a patient.

(h) Medication safety.

1. Prevention of medication errors.

2. Causes of medication errors.

3. Reporting of medication errors.

(2)   Facility and class size.

(a) The class facilities shall be of sufficient size and structure so as to allow adequate space and equipment to instruct the students.

(b) The total number of students in any one class shall not exceed 24.

(3)   Course structure. The program shall have a minimum of 40 hours of instruction of which 32 hours is lecture and 8 hours of which is quizzes, final examination and practicum. The 32 hours of lecture shall contain hands-on and demonstrations of the appropriate techniques of medication administration. The program will not be approved as a prerecorded video-based program; however, videos internet and other technology can be used to supplement the classroom instruction.

(4)   Grading.

(a) The program shall have a minimum of 6 quizzes. The student shall achieve an average of 85 percent on the quizzes in order to take the final written examination.

(b) The student shall achieve a grade of 85 percent or better on the final written examination to take the practicum. A student may be permitted one retake of the final written examination. Any retake shall occur at least 3 months after the student first took the final written examination.

(c) The practicum examination shall be administered after the final written examination and the student shall achieve a grade of 85 percent or better on the practicum examination to pass the course. Retakes of the practicum examination shall not be permitted.

(d) If the student does not successfully pass either the final written examination or the practicum exam, the student shall retake the entire course.

(5)   Certification. The department or designee shall issue a certificate to each student who satisfactorily completes the course. The department or designee shall maintain a database of hospice nurse aides who complete this course.

(6)   Record retention.

(a) The records of the program shall be retained by the instructional entity for at least 3 years.

(b) The records file for each student in each class shall contain all of the following:

1. The student's qualifications.

2. The student's record of attendance.

3. The student's quiz scores.

4. A copy of the practicum requirements.

5. A copy of the student's certificate of completion.

6. Program evaluation forms.

CR 08-042 : cr. register November 2008 No. 635, eff. 12-1-08; renumbering in (1) (g) made under s. 13.92 (4) (b) 1. , Stats., Register November 2008 No. 635 .

Note

Examples of anatomy, function and diseases are provided in the curriculum development guide. Microsoft Windows NT 6.1.7601 Service Pack 1 Chemotherapy is not part of the basic medication aide course. Microsoft Windows NT 6.1.7601 Service Pack 1 Injections, medications administered via a tube, nebulizers, and oxygen routes will not be evaluated as part of the basic hospice medication aide curriculum. Microsoft Windows NT 6.1.7601 Service Pack 1 The final written examination is a state-generated examination and is administered by the department or its designee. Microsoft Windows NT 6.1.7601 Service Pack 1 The nurse aide should retain his or her hospice medication aide certificate of completion. Microsoft Windows NT 6.1.7601 Service Pack 1